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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FREDERICK STREETS

Active Sole Proprietor

FREDERICK STREETS is a Pastoral Counselor healthcare provider located in STRATFORD, Connecticut. NPI 1003459389 is currently active in the NPPES registry. Verify at CMS.

Pastoral Counselor · STRATFORD, CT

Registration Details

NPI Number
1003459389
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2019 (6.851296886478 yrs)
Last Updated
Oct 19, 2019
License
002270 (CT)
Sole Proprietor
Yes

Practice Information

Address
602 NICHOLS AVE
STRATFORD, CT, 066143925
Browse CT providers · Browse ZIP 06614
Phone
2032962430
Primary Specialty
Pastoral Counselor
101YP1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.